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Contact Information

CHARLA JOHANSEN- NURSE PRACTITIONER
95 SOLDIERS PASS RD STE B1
SEDONA, AZ86336-4712
 Phone: 928-204-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHARLA JOHANSEN- NURSE PRACTITIONER

NPI Number 1477279412
LBN Legal business name CHARLA JOHANSEN- NURSE PRACTITIONER
Authorized official CHARLA JOHANSEN - (PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2022
Last updated 10/26/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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